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Illinois rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $24 · 10th–90th $10–$1070%20%10th90th$24Professionalmedian $10 · 10th–90th $9–$210%20%40%10th90th$10$0.0$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $40.74 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $21.88
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $23.99 / $30.90
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $16.98 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.23 / $16.98